death in theatre

The following is an example of how this process may unfold.

You are advised to follow your local institutions policy.

If in doubt; your ICU team will likely be able to assist

The SMO anaesthetist and surgeon must be involved.

• If not already present, they should be contacted immediately.

The theatre should be stood down

• This process will take time.

• The wellbeing of the team involved should be ensured. Consider standing down team members if appropriate. A debreifing should be arranged.

Certification

• Documentation is on line: https://deathdocs.services.govt.nz/welcome

• Deciding the need for coronal notification is part of this process. Notification is required if the death is unexpected, unexplained or likely caused by the procedure rather than the underlying condition. 

• If in doubt, complete the above and then the National Duty Coroner can assist on 0800 266800.

• If a stillbirth, a Medical Certificate of Causes of Foetal and Neonatal Death (HP4721) should be completed.

• Consider a local incident form if concerns about your hospital process or care.

Care of the deceased

• An identity bracelet must be attached to a wrist or ankle.

• If the coroner takes jurisdiction; any devices inserted into the patient must remain in place and removed only when permitted by the coroner.

• Clean dressings can be applied where necessary, noting coroners restrictions. The body should be wrapped in a clean sheet, secured with tape, not too tightly.

• Transfer to the ward they originated from or to the morturary if not previously admitted to a ward. Transfer should involve an orderly and RN. 

Family and cultural considerations

• The family should be notified as soon as appropriate. 

• Consider cultural and religious beliefs of the deceased and family. OT is not an ideal enviroment for the family to attend the body, the ward is preferable.

• A blessing may be required before reopening the theatre. Discuss with your Duty Manager.